Individual
DR. TYRONE P. SMITH SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2609 CANTRELL RD, HARRISONVILLE, MO 64701-4002
(816) 380-3860
(816) 380-3862
Mailing address
2609 CANTRELL RD, HARRISONVILLE, MO 64701-4002
(816) 380-3860
(816) 380-3862
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2002019357
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31744016
BCBSKC
MO
Enumeration date
02/16/2007
Last updated
07/08/2007
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